Sedgwick is seeking a Claims Examiner specializing in bodily injury to analyze and process complex auto and commercial transportation claims. In this remote role, you will review coverage, complete investigations, determine liability, and evaluate the scope of damages to ensure accurate and timely claim resolution.

What You'll Do

Process complex auto commercial and personal line claims, including bodily injury, ensuring claim files are properly documented and coded correctly.
Manage and supervise litigated files with outside Defense Counsel.
Report large claims to excess carrier(s).
Develop and maintain action plans to ensure state-required contact deadlines are met and to move files toward prompt resolution.
Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
Communicate claim action and processing with insured, client, and agent or broker when appropriate.
Support the organization's quality program(s).
Travel as required.

What We're Looking For

Previous bodily injury experience is required.
In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Knowledge of medical terminology for claim evaluation and Medicare compliance.
Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.
Strong oral and written communication skills, including presentation skills.
PC literacy, including Microsoft Office products.
Strong organizational and interpersonal skills.
Good negotiation skills.
Ability to work in a team environment and meet or exceed service expectations.
Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion.
Ability to handle work-related stress and multiple priorities simultaneously and meet deadlines.
Secure and maintain state adjusting licenses as required.
Credit security clearance, confirmed via a background credit check.